North Carolina’s Coordinated Medical Response to Hurricane Katrina Challenges and Lessons Learned September-October, 2005
Eye Wall of Katrina from 30,000 feet
Know what you face.
HANCOCK MEMORIAL HOSPITAL
The “Safe Zone” Border
Prepare for the Worst and be Self-sufficient …otherwise you become part of the problem rather than the solution
Preparations
The Bus Noble
Getting There
There is No Substitute for Adequate Planning
The Infrastructure Must Exist Regional Trauma System NC Trauma System mandated by State Legislature in 100 Counties in NC with EMS Systems. Eight Regional Advisory Committees (RAC) Designed to coordinate trauma care.
Collaborative Effort Office of Emergency Medical Services NORTH CAROLINA To develop a tiered State Medical Response System (SMRS)
Logistics!!!!
Just do it.
Untested Waters 31 AUG from Randy Kearns, MidCarolina RAC Disaster Preparedness Coordinator, notifying us that our SMAT had been activated. Gathered supplies Chris Ogden, RN, BSN Randy Kearns, CEM, NREMT-P, DHA(c) Michele Rudisill, RN, BSN
The Plan ?
Trauma Resuscitation Algorithm
Be safe, establish security
Organization, Safety Vaccinations, ID’s
Charlotte-Mecklenburg SWAT
Expect hurdles but never give up.
The Importance of Boots on the Ground
If you build it, they will come
Waveland, MS
Tent City
Clearing the Staging Site by Hand
Securing the Perimeter
2 am, Open for Business
MED-1
OR’s
ICU Capabilities
Digital X-ray
Trauma
PEDIATRIC BURN
Order from Chaos The Kmart Clinic is Up and Running
Christian Life Church Orange Beach, Alabama
Filling a Need Population changed with time pts. per day Mostly during daytime Over 7,000 patients cared for
Establish communications and build infrastructure
A Helipad?
Rowan County Search and Rescue
Yes, A Helipad
Be creative.
Tree-age
Strategic National Stockpile
WALMART“PRESCRIPTIONS”
Breakfast, Lunch and Dinner at Mr. E’s
Inside the MidCarolina SMAT-2
Never underestimate the power of humanity.
The Remnants of City Hall
NC SMAT Team 1
Anything is possible…